Cal El

Review of Molina Healthcare New Mexico

In a field with nothing but bad options (Healthcar...

In a field with nothing but bad options (Healthcare Insurance), Molina still stands out as THE WORST!!! I've been a Molina "member" for over 6 months, but Molina has not provided ANY of the Healthcare services they've been contracted to provide! I still do not have a Primary Care doctor! There has been no "Care Coordination", either!

It took Molina 2 months to send me the Member ID card or issue me a Member Number! The provider list they sent is quite out of date, over 2 years old, with editing notes transcribed right into it: "old number, look up new one", "delete number", etc., trapped in the PDF document.
I've called Molina hundreds of times asking for help, but 99% of the time "Member Services" will either hang up, or will transfer the call to the wrong department. After sending dozens of emails and postal letters, I can count the replies on 1 hand, with 3 fingers left over. I have also left dozens of voice messages for many different Molina employees, but only 1 or 2 of those have ever been returned.

Molina "Member Services" has repeatedly informed me that there is no "Grievance Department", even though having one is stipulated in their contract. "Member Services" has also told me many, many times, that there is no "Escalation Department", either. "Member Services" has told me repeatedly, that all complaints about "Member Services" have to go through "Member Services". The conflict-of-interest of that arrangement stinks to high heaven, but it does explain, in part, why I can't get any help from Molina.

Furthermore, there does not appear to be anyone in charge, anywhere in Molina. From supervisors for Tier 1 "Member Service" Agents, Department Managers, Directors, not even the CEO himself, Dr. Joseph Molina, allow any calls to be transferred to them. Ever! Not even to find out why a member (me) has called hundreds of times, asking for them by name!

Based on my experiences trying to get ANY help from them, Molina does not appear to be either an honest, or even a legitimate business! (By not delivering any of the services that Molina signed a contract to deliver, removes any trace of legitimacy Molina may have once had.) All of this leads me to the unfortunate conclusion, that Molina can only be a Healthcare Scam! Reports of this Medicaid Fraud and Abuse have been filed, and more will be filed soon, too!

If healthcare is really the "basic human right" that President Obama has more than once declared it to be, then Molina should be facing charges for its repeated and continuous violations of Human Rights! As well as a Class Action Breach of Contract lawsuit, too!